| NPI | 1073546511 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT A BROERMANN Sr VP/CFO 757-455-7020 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VA 0202004511) |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2020-07-09 |